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- attr(*, "complete")= logi TRUE
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<fctr> <int> <fctr> <num> <char> <num> <num>
1: BHC GENERAL MEDICINE 19288 pct_72 98.20095 min 98.01338 98.38853
2: BHC MED PED 9238 pct_72 98.37627 min 98.11854 98.63400
3: BW03 GENERAL MEDICINE 21337 pct_72 95.72105 min 95.44950 95.99260
4: CHC GENERAL MEDICINE 17039 pct_72 96.34368 min 96.06187 96.62549
5: CHC MED PED 12356 pct_72 97.90385 min 97.65126 98.15644
6: EAA GENERAL MEDICINE 19447 pct_72 96.84270 min 96.59694 97.08846
7: EAA MED PED 10579 pct_72 92.89158 min 92.40191 93.38124
8: NHC GENERAL MEDICINE 14841 pct_72 95.67415 min 95.34684 96.00145
9: SHC GENERAL MEDICINE 12788 pct_72 97.26306 min 96.98028 97.54584
10: TC GEN MED FACULTY 13887 pct_72 93.69914 min 93.29502 94.10326
11: TC GEN MED RESIDENT 6479 pct_72 90.70844 min 90.00154 91.41535
12: WAA GENERAL MEDICINE 22737 pct_72 97.70418 min 97.50951 97.89886
13: BHC GENERAL MEDICINE 19288 pct_48 96.79594 min 96.54740 97.04447
14: BHC MED PED 9238 pct_48 97.07729 min 96.73380 97.42078
15: BW03 GENERAL MEDICINE 21337 pct_48 90.34541 min 89.94913 90.74169
16: CHC GENERAL MEDICINE 17039 pct_48 91.70726 min 91.29319 92.12133
17: CHC MED PED 12356 pct_48 95.45160 min 95.08421 95.81899
18: EAA GENERAL MEDICINE 19447 pct_48 89.64365 min 89.21541 90.07188
19: EAA MED PED 10579 pct_48 82.70158 min 81.98083 83.42233
20: NHC GENERAL MEDICINE 14841 pct_48 91.41567 min 90.96498 91.86636
21: SHC GENERAL MEDICINE 12788 pct_48 93.11073 min 92.67176 93.54970
22: TC GEN MED FACULTY 13887 pct_48 83.99942 min 83.38968 84.60917
23: TC GEN MED RESIDENT 6479 pct_48 77.60457 min 76.58945 78.61969
24: WAA GENERAL MEDICINE 22737 pct_48 93.49958 min 93.17913 93.82003
25: BHC GENERAL MEDICINE 20066 pct_72 47.17432 max 46.48362 47.86503
26: BHC MED PED 9625 pct_72 57.45455 max 56.46682 58.44227
27: BW03 GENERAL MEDICINE 22274 pct_72 63.65718 max 63.02552 64.28884
28: CHC GENERAL MEDICINE 17426 pct_72 67.41077 max 66.71486 68.10667
29: CHC MED PED 12672 pct_72 65.08049 max 64.25048 65.91051
30: EAA GENERAL MEDICINE 19753 pct_72 63.82322 max 63.15312 64.49331
31: EAA MED PED 10766 pct_72 57.24503 max 56.31052 58.17954
32: NHC GENERAL MEDICINE 15239 pct_72 65.53580 max 64.78124 66.29036
33: SHC GENERAL MEDICINE 13202 pct_72 69.47432 max 68.68877 70.25987
34: TC GEN MED FACULTY 14231 pct_72 58.07744 max 57.26674 58.88813
35: TC GEN MED RESIDENT 6637 pct_72 38.45111 max 37.28073 39.62149
36: WAA GENERAL MEDICINE 23897 pct_72 73.35649 max 72.79597 73.91701
37: BHC GENERAL MEDICINE 20066 pct_48 36.90322 max 36.23556 37.57088
38: BHC MED PED 9625 pct_48 46.61818 max 45.62158 47.61478
39: BW03 GENERAL MEDICINE 22274 pct_48 53.42103 max 52.76594 54.07612
40: CHC GENERAL MEDICINE 17426 pct_48 58.02250 max 57.28975 58.75524
41: CHC MED PED 12672 pct_48 55.27146 max 54.40576 56.13717
42: EAA GENERAL MEDICINE 19753 pct_48 53.41467 max 52.71903 54.11031
43: EAA MED PED 10766 pct_48 45.34646 max 44.40608 46.28684
44: NHC GENERAL MEDICINE 15239 pct_48 55.34484 max 54.55553 56.13414
45: SHC GENERAL MEDICINE 13202 pct_48 60.46811 max 59.63411 61.30211
46: TC GEN MED FACULTY 14231 pct_48 46.44790 max 45.62848 47.26731
47: TC GEN MED RESIDENT 6637 pct_48 27.94937 max 26.86976 29.02899
48: WAA GENERAL MEDICINE 23897 pct_48 64.72361 max 64.11778 65.32943
Clinic N variable p tat lwr upr---
title: PARADIGM-Hadeed Preliminary Data
date: "`r format.Date(Sys.Date(), '%B %d, %Y')`"
author: James Henderson, PhD
output:
flexdashboard::flex_dashboard:
orientation: rows
source_code: embed
vertical layout: scroll
---
```{r setup, include=FALSE}
library(flexdashboard)
library(plotly)
library(tidyverse)
library(data.table)
library(lubridate)
```
```{r, include=FALSE, cache=FALSE}
knitr::read_chunk('updated_1-ibx_prelim.R')
knitr::read_chunk('updated_2-tiime_in_ibx.R')
```
About {.sidebar data-width=300}
============================================================================
### Navigation
Use the tabs at the top of the page to select a reporting topic.
Hover over plots for additional detail.
### Notes
#### cFTE data
- cFTE data is sourced from this [dashboard][1]
+ Only using *physician* cFTE for clinics, APPs are not included.
+ Resident time is not included, but physician cFTE on Taubman GMO is.
- This is the slowest to update data source, currently limiting us to data
through December 2023.
#### In Basket Messages Data
- In Basket message data are sourced from the [UMMG dashboard][2]
- Taubman messages with "TC GEN MED RESIDENT" as encounter department are
*not* included except where explicilty referred to.
- Data from January 2023 - December 2023 are included.
- Available from January 2023 w/ little effort, longer back with some effort.
[1]: https://tab.med.umich.edu/#/views/PatientCounts/PanelcFTETrend?:iid=1
[2]: https://tab.med.umich.edu/#/views/InBasket_16219755160520/Volume?:iid=1
#### Time in In Basket
- Time in In Basket is sourced from Epic Signal.
- Currently using January 2023 - December 2023
- Available from January 2023 - December 2023.
In Basket Message Volume
============================================================================
Row {data-height=900}
----------------------------------------------------------------------------
### Total Message Volume
```{r, test1, echo=FALSE}
```
### Physician Message Volume
```{r, test2, echo=FALSE}
```
Row {data-height=450}
----------------------------------------------------------------------------
### Key Points
+ Taubman gets the $2^{nd}$ *lowest* total volume of portal messages per
cFTE.
+ Relative to the clinic with highest message volume,
Taubman gets only as many messages.
+ However, Taubman is $2^{nd}$ only to Northville in *physician*
message volume.
+ See the [next tab](#physician-involvement) for the physician touch rate.
### Additional Notes
+ Total Message Volume (above left) is based on the number of unique
message ids, and should therefore represent messages *sent*, and not,
e.g., count messages with multiple recipients once per recipient.
+ Physician Message Volume (above right) is based on unique message ids with
a physician as the (a) *recipient*.
+ For messages *sent by physicians* see the [Message Sent](#messages-sent)
tab.
Physician Involvement
============================================================================
Row {data-height=900}
----------------------------------------------------------------------------
### Physician Touch Rate
```{r, test3, echo=FALSE}
```
### "Carbon Copy" Behavior
```{r, test4, echo=FALSE}
```
Row {data-height=900}
----------------------------------------------------------------------------
### Additional Notes
+ *Physician Touch Rate* (above left) summarizes the percentage of message
*encounters* with one or more messages with a physician *recipient*.
+ *"Carbon Copy" Behavior* (above right) classifies each message id based on
the role(s) of its recipient(s) and summarizes these classifications.
+ Residents are classified as "non-physicians" in the "Carbon Copy" Behavior
figure .
+ *"Carbon Copy* by Sender Role* (right) summarizes the the breakdown among
non-physician roles who sent CC'd messages with a physician recipient.
### "Carbon Copy" by Sender Role
```{r, test5, echo=FALSE}
```
Messages Sent
============================================================================
Row {data-height=900}
----------------------------------------------------------------------------
### Physician **sent** message volume
```{r, test6, echo=FALSE}
```
### % Encounters with message(s) sent by physician
```{r, test7, echo=FALSE}
```
Row
----------------------------------------------------------------------------
### Key Points.
+ Taubman physicians **send** the fewest messages per cFTE for both
portal and call encounters (above left).
+ Taubman physicians also send 1+ messages on the smallest percent of
portal encounters (above right).
### Additional Notes
+ None.
Turnaround Time
============================================================================
Row
----------------------------------------------------------------------------
### Median time to first marked "done"
```{r, test8, echo=FALSE}
```
### Median time to last marked "done"
```{r, test9, echo=FALSE}
```
Row
----------------------------------------------------------------------------
### % done in 48/72 hours
```{r, test10, echo=FALSE}
```
### Notes
- Based on encounters with first message within the prior year
- Encounters not yet marked "done" are excluded.
- A small number (~0.3%) of encounters with negative turn-around times are
excluded. These most likely represent cases where the first message in the
encounter is outside the scope of the data pull.
Time in In Basket
============================================================================
Row
----------------------------------------------------------------------------
### Time in In Basket
```{r, test11, echo=FALSE}
```
### Patient Medical Advice Request
```{r, test12, echo=FALSE}
```
Row
----------------------------------------------------------------------------
### Send Patient Message
```{r, test13, echo=FALSE}
```
### Patient Phone Calls
```{r, test14, echo=FALSE}
```